| Intratracheal cocaine induced myocardial infarction: an unusual complication of fibreoptic bronchoscopy. | |
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MedLine Citation:
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PMID: 12885998 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 73 year old man developed chest pains 5 minutes after fibreoptic bronchoscopy. The procedure had been performed without sedation following an intratracheal injection of 5 ml 2.5% cocaine solution and xylocaine spray to the pharynx for topical anaesthesia. A 12-lead electrocardiogram showed an evolving anterior myocardial infarction. Cardiac catheterisation revealed coronary artery spasm in the proximal left anterior descending artery at the site of non-significant plaque disease. The risk factors, mechanisms, and treatment of cocaine induced myocardial infarction following intratracheal injections are discussed. |
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Authors:
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S Osula; P Stockton; M M Abdelaziz; M J Walshaw |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Thorax Volume: 58 ISSN: 0040-6376 ISO Abbreviation: Thorax Publication Date: 2003 Aug |
Date Detail:
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Created Date: 2003-07-29 Completed Date: 2003-09-11 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0417353 Medline TA: Thorax Country: England |
Other Details:
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Languages: eng Pagination: 733-4 Citation Subset: IM |
Affiliation:
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Cardiology Department, The Cardiothoracic Centre Liverpool, Liverpool, UK. mwalshaw@doctors.org.uk |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthetics, Local / adverse effects* Bronchoscopy / adverse effects* Cocaine / adverse effects* Electrocardiography Fiber Optic Technology Humans Injections, Spinal Male Myocardial Infarction / chemically induced* |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 50-36-2/Cocaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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